PlainNursing
CMS Nursing Home Compare · March 2026

Lakeside Lutheran Home

Lakeside Lutheran Home is a non profit - corporation facility in Emmetsburg, IA with 55 certified beds and a 1-star overall CMS rating. The inspection file holds 25 deficiency records.

301 North Lawler Street, Emmetsburg, IA 50536

Phone: 7128524060

Overall CMS Rating

1/5

vs 3.0 national avg

The verdict

Lakeside Lutheran Home holds a 1-star CMS overall rating — below the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall rating (nat'l avg 3.0)
4.19
Nursing hrs/resident-day (nat'l 3.89)
25
Inspection findings on file · 1 serious
$0
Federal penalties (0)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

2/5

Staffing

4/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
165492
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
55
Residents
35
In Hospital
No
County
Palo Alto
Last Inspection
Jan 23, 2025

Staffing Data

RN Hours
0.78 (nat'l avg: 0.68)
LPN Hours
0.33
CNA Hours
3.09
Total Nursing Hours
4.19 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
40.0%
RN Turnover
50.0%

What the CMS Record Reveals About Lakeside Lutheran Home

Lakeside Lutheran Home operates 55 certified beds in Emmetsburg, IA with approximately 35 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.19 total nursing hours per resident day (national average 3.89), with RN coverage at 0.78 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Lakeside Lutheran Home falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 40.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D — Isolated - Minimal harm May 22, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2025

E — Pattern - Minimal harm May 22, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 4, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 4, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 4, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jun 4, 2025

G — Isolated - Actual harm Jan 23, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 4, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 14, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 14, 2025

E — Pattern - Minimal harm Jan 23, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 14, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 14, 2025

F — Widespread - Minimal harm Jan 23, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Feb 14, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 14, 2025

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 28, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Feb 28, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Feb 28, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 28, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Feb 28, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Feb 28, 2024

E — Pattern - Minimal harm Jan 26, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 26, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 26, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 26, 2023

E — Pattern - Minimal harm Jan 26, 2023 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2023

E — Pattern - Minimal harm Jan 26, 2023 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Feb 26, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 19.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 85.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 29.0% Yes

Penalty History

Date Type Amount
Jan 23, 2025 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Lakeside Lutheran Home?
Lakeside Lutheran Home has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (1★).
What are the staffing levels at Lakeside Lutheran Home?
Lakeside Lutheran Home reports 4.19 total nursing hours per resident day (national average: 3.89). RN hours are 0.78 per resident day (national average: 0.68). Nursing staff turnover is 40.0%.
How many beds does Lakeside Lutheran Home have?
Lakeside Lutheran Home has 55 certified beds with approximately 35 residents. The facility is located at 301 North Lawler Street, Emmetsburg, IA 50536.
Does Lakeside Lutheran Home have any deficiencies on record?
Yes, Lakeside Lutheran Home has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Lakeside Lutheran Home received any fines or penalties?
No, Lakeside Lutheran Home has no fines or penalties on record.
Who owns Lakeside Lutheran Home?
Lakeside Lutheran Home is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Lakeside Lutheran Home last inspected?
The most recent health inspection for Lakeside Lutheran Home was on Jan 23, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Lakeside Lutheran Home?
Lakeside Lutheran Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.